Laserfiche WebLink
If, eii CMR P• ' I GENERATOR UNIFORM HAZARDOUS WASTE MANIFEST <br />(COntIOU3110o Sheo)) <br />• 23 Manifest Tracking Numbor <br />..1,,fS Name <br />US EPA:t , 1. • 25 Transporter Company Name <br />I <br />7t) Transporter Company Name US EPA It) Numb., <br />I <br />27a 27O US DOT Description toseludng Proper Shopmp Name Ruled Class 10 Mortar /9 T-1, 31 Wiser Godes Primp Group 01 any)) <br />32 Special Handling Instructions and Additional Information TRANSPORTER I 33 Traisx-ter Acknc..,ledornent of Rc-ce_pI cf Malenals <br />Pnitedrlyped Name S,pnah.,rp Morin Day Year <br />34 Transporter- Acknowledgment cl Rece:o: of tAa!ena s <br />Priniedlyped Name b gnalLre '..arrl Day Year <br />I I I I I DESIGNATED FACILITY I 35 Discrepancy <br />25 Hazardous Waste Report Management Method Codes (I e . codes for hazardous waste treatment, disposal, and recycMg systems) <br />I I I I <br />I I I I <br />EPA Form 8700-22A (Rev 3-05) Previous editions are obsolete. <br />— —